﻿<?php include "../function.php"; ?>
<?php
$seo = array(
	'description' => '闇€瑕佸烟鍚岖殑璇佷功锛熷揩鏉ヤ娇鐢ㄨ繖涓€屽烟鍚嶈瘉涔︾敓鎴愬櫒銆嶅惂锛?,
	'keywords' => '鍩熷悕璇佷功, 鏂扮綉, 璇佷功鐢熸垚, 鍩熷悕璇佷功鐢熸垚',
);
?>
<?php get_header("鍩熷悕璇佷功鐢熸垚", $seo); ?>
<form class="form-horizontal" action="cert.php" method="POST" role="form">
	<div class="form-group">
		<label for="domain" class="col-sm-2 control-label">鍩熷悕</label>
		<div class="col-sm-10">
			<input type="text" class="form-control" id="domain" name="domain" required="required" />
		</div>
	</div>
	<div class="form-group">
		<label for="chinese_name" class="col-sm-2 control-label">涓枃濮揿悕</label>
		<div class="col-sm-4">
			<input type="text" class="form-control" id="chinese_name" name="chinese_name" required="required" />
		</div>
		<label for="english_name" class="col-sm-2 control-label">鑻辨枃濮揿悕</label>
		<div class="col-sm-4">
			<input type="text" class="form-control" id="english_name" name="english_name" required="required" />
		</div>
	</div>
	<div class="form-group">
		<label for="register_date" class="col-sm-2 control-label">娉ㄥ唽镞ユ湡</label>
		<div class="col-sm-4">
			<input type="text" class="form-control" id="register_date" name="register_date" required="required" />
		</div>
		<label for="upcoming_date" class="col-sm-2 control-label">鍒版湡镞ユ湡</label>
		<div class="col-sm-4">
			<input type="text" class="form-control" id="upcoming_date" name="upcoming_date" required="required" />
		</div>
	</div>
	<div class="form-group">
		<label for="chinese_address" class="col-sm-2 control-label">涓枃阃氲鍦板潃</label>
		<div class="col-sm-4">
			<input type="text" class="form-control" id="chinese_address" name="chinese_address" required="required" />
		</div>
		<label for="english_address" class="col-sm-2 control-label">鑻辨枃阃氲鍦板潃</label>
		<div class="col-sm-4">
			<input type="text" class="form-control" id="english_address" name="english_address" required="required" />
		</div>
	</div>
	<div class="form-group">
		<div class="centerd">
			<button type="submit" class="<?php echo get_btn(); ?>">鐢熸垚璇佷功</button>
		</div>
	</div>
</form>
<?php get_footer(); ?>